How much rates vary
Facilitymedian $1,585 · 10th to 90th $676 to $6,457Professionalmedian $1,380 · 10th to 90th $676 to $2,455
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 78 · Unplanned return to OR | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $676.08 Typical High $831.76 | Professional | None | $660.69 | $676.08 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $478.63 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $6,760.83 Typical High $13,182.57 | Facility | None | $4,265.80 | $6,760.83 | $13,182.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,096.48 | $1,412.54 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,122.02 Typical High $1,737.80 | Professional | 54 · Surgery only | $891.25 | $1,122.02 | $1,737.80 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $281.84 Typical High $436.52 | Professional | 55 · Aftercare only | $218.78 | $281.84 | $436.52 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,174.90 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $933.25 | $1,174.90 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $3,311.31 | Facility | None | $1,122.02 | $1,737.80 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $2,818.38 | Professional | None | $1,071.52 | $1,819.70 | $2,818.38 |
Health Partners Setting Facility Modifier None Typical Low $977.24 Median $1,584.89 Typical High $2,754.23 | Facility | None | $977.24 | $1,584.89 | $2,754.23 |
Health Partners Setting Professional Modifier None Typical Low $954.99 Median $1,659.59 Typical High $2,691.53 | Professional | None | $954.99 | $1,659.59 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,348.96 Typical High $4,677.35 | Facility | None | $794.33 | $1,348.96 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,288.25 Typical High $5,011.87 | Professional | None | $676.08 | $1,288.25 | $5,011.87 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $4,897.79 | Facility | None | $776.25 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $645.65 Median $1,122.02 Typical High $2,290.87 | Professional | None | $645.65 | $1,122.02 | $2,290.87 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 56 · Pre-op care only | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $67.61 |
Where Minnesota sits
The same service costs 4.3 times more in Alaska than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
AK $6,645WV $1,559
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.